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Correspondence
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Volume 354:1757 April 20, 2006 Number 16
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Lead Shot in the Appendix

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by Cox, W. M.
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To the Editor: Cox and Pesola (Dec. 29 online issue)1 describe lead-shot accumulation in the cecal appendix of an Alaskan native, which was probably caused by the ingestion of shotgun-culled waterfowl. Their description did not mention the potential for lead absorption and systemic toxicity. Blood lead levels almost twice those of controls may be found after sequestration of just one or two shot pellets in the appendix2; a toxic level of lead (67.4 µg per deciliter) was reported after the retention of 29 pellets.3 The authors' comment that shot in the appendix is commonly seen in Alaskan natives suggests . . . [Full Text of this Article]



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